Step 1 of 4 (Registration Agreement)

Gabe's Gift Memorial 5K Race and 1-Mile Fun Run

Saturday, September 14, 2019 in Moline, IL at Jane Addams Elementary School

  • Group or Family
    Register between 2 and 6 individuals in one transaction.
    Choose 5K or 1-Mile on Step 2.
    T-Shirts are not guaranteed after 9/5/19


In consideration of my entry, I, intending to be legally bound, for myself, my heirs, executors and administrators waive, release, and forever discharge any and all rights and claims which may hereafter accrue to me against officials of the run, the Gabe's Gift Memorial 5k Race Committee, Moline School District #40, the City of Moline, and all sponsors for any and all accidents or injuries by me at this event and while traveling to and from this event.

I further state that I have trained adequately and am in suitable athletic condition to compete in the race I have entered.

Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.

Multiple signers should separate their signatures with commas.

This agreement was generated at 3:20:08 AM EDT on 07/20/2019.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 3:20:08 AM EDT on 07/20/2019

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